李源 经皮冠状动脉介入术治疗老年冠心病合并2型糖尿病xx例临床观察.docxVIP

经皮冠状动脉介入术治疗老年冠心病合并2型糖尿病40例临床观察摘要：目的：探讨经皮冠状动脉介入术治疗老年冠心病合并2型糖尿病的临床效果。方法：于2013年3月到2014年3月间，在我院选择老年冠心病合并2型糖尿病40例患者设为合并组，另选择同时期收治的老年冠心病未合并2型糖尿病40例患者设为对照组，所有患者均采取经皮冠状动脉介入术治疗，统计对比两组患者的手术治疗效果，对患者进行2年随访，统计对比两组患者远期疗效。结果：合并组患者手术成功35例，对照组患者手术成功38例，合并组患者经皮冠状动脉介入术成功率与对照组相比无明显差异，P＞0.05。合并组患者冠状动脉病变数目、支架长度、支架直径、置入支架数量与对照组相比均明显较高，P＜0.05。合并组患者支架内再狭窄及再次血运重建发生率与对照组相比明显较高，P＜0.05。合并组患者再次冠状动脉造影、再发心绞痛、心肌梗死、心源性死亡、非心源性死亡发生率与对照组相比无明显差异，P＞0.05。结论：采取经皮冠状动脉介入术治疗老年冠心病合并2型糖尿病效果显著，手术成功率高，临床需在围手术期采取针对性措施，积极改善患者预后。关键词：经皮冠状动脉介入术；老年冠心病；2型糖尿病Abstract: Objective: To study surgery in the treatment of elderly coronary heart disease patients with type 2 diabetes clinical effect of percutaneous coronary intervention. Methods: in March 2013 to 2014 March, in our hospital choice in elderly patients with coronary heart disease combined with type 2 diabetes mellitus in 40 cases of patients for the combined group, another elderly coronary heart disease in the same period were not associated with type 2 diabetes 40 cases were set as control group. All patients were taken percutaneous coronary artery interventional therapy, the results of operative treatment of statistics and comparison of two groups of patients, for patients of 2 years of follow-up, statistical comparison of two groups of patients with long-term efficacy. Results: Patients operation was successful in 35 cases of merger control group patients Was successful in 38 cases, pooled group of patients with percutaneous coronary interventional procedure success rate and control group showed no significant difference, P 0.05. The combined group of coronary artery lesions in patients with number, stent length, the diameter of the stent, stent implantation quantity and the control group showed significantly higher, P 0.05. The combined group patients with in stent restenosis and repeat blood transport remodeling rate compared with the control group was significantly higher, P 0.05. The combined group were again coronary angiography, recurrent angina, myocar